CENTRO MEDICO FAMILIAR BUEN PASTOR INC - NPI 1013243849

Q: What is the provider's specialty?

The provider's specialty is General Practice with taxonomy code 208D00000X.

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About Centro Medico Familiar Buen Pastor Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRO MEDICO FAMILIAR BUEN PASTOR INC (NPI 1013243849) is a healthcare organization registered as a general practice in Hollywood, Florida and active in the NPI registry since October 2009. The organization lists Gabriel Florez, Md, as its authorized official.

NPPES Registry Identity

NPI1013243849

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameCENTRO MEDICO FAMILIAR BUEN PASTOR INC

Location Address4440 SHERIDAN ST, SUITE CHollywood, FL 33021-3535

Mailing Address4440 Sheridan St, Suite CHollywood, FL 33021-3535 · (954) 882-0191 · Fax (954) 963-1557

Phone(954) 882-0191

Fax(954) 963-1557

Organization SubpartNo

Authorized OfficialGabriel FlorezMd · (954) 882-0191

Enumeration DateOctober 29, 2009

Last NPPES UpdateOctober 26, 2010

✔ NPI 1013243849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

4440 SHERIDAN ST, Hollywood, FL 33021

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Other Identifiers 1

Medicaid001771300FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2080293

Centro Medico Familiar Buen Pastor Inc · Hollywood, FL

Expired · Jul 2, 2026

CLIA Number10D2080293

Laboratory TypePhysician Office

Certificate Effective DateJuly 3, 2024

Certificate Expiration DateJuly 2, 2026

Laboratory DirectorGabriel G. Florez

Laboratory Phone(954) 986-6994

Laboratory LocationCentro Medico Familiar Buen Pastor Inc4440 Sheridan St, Hollywood, FL 33021

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIEL IVAN BOBER DO

Psychiatry & Neurology (Child & Adolescent Psychiatry)